儿童早期复极模式的患病率。
Prevalence of early repolarisation pattern in children.
作者信息
Maury Philippe, Authenac Céline, Rollin Anne, Dulac Yves, Mondoly Pierre, Cardin Christelle, Monteil Benjamin, Bennadji Amin, Gendre Rémi, Galinier Michel, Carrié Didier, Acar Philippe, Bongard Vanina, Hascoet Sebastien
机构信息
University Hospital Rangueil, Toulouse, France; Unité Inserm U 1048, Toulouse, France.
University Hospital Rangueil, Toulouse, France.
出版信息
Int J Cardiol. 2017 Sep 15;243:505-510. doi: 10.1016/j.ijcard.2017.05.046. Epub 2017 May 11.
BACKGROUND
Prevalence of early repolarisation ECG pattern (ER) has been repetitively determined in adults, but has not been reported in large unselected children populations so far.
METHODS
ECG from 1000 successive healthy children from birth to 17years old were prospectively recorded and analyzed. ER was defined by ≥0.1mV J point elevation in at least two contiguous inferior or lateral ECG leads. Correlations with age, gender, ethnic origin, physical activity, Sokolow index and heart rate were performed.
RESULTS
Prevalence of ER pattern was 23,6% (95% CI 21-26.2%) and increased after 8years of age. ER was independently correlated to a non Caucasian origin and a higher Sokolow index, but not to gender or level of physical activity. ER was independently correlated to an older age in children with heart rate <100bpm, and to a slower heart rate in children ≥8yo.
CONCLUSION
ER is present in a quarter of children of various age and is related to ethnic origin, an older age, a slower heart rate and a higher Sokolow index.
背景
成人早期复极心电图模式（ER）的患病率已被反复测定，但迄今为止尚未在未经过选择的大量儿童群体中报道。
方法
前瞻性记录并分析了1000名从出生到17岁连续健康儿童的心电图。ER定义为至少两个相邻下壁或侧壁心电图导联中J点抬高≥0.1mV。进行了与年龄、性别、种族、体力活动、索科洛夫指数和心率的相关性分析。
结果
ER模式的患病率为23.6%（95%可信区间21%-26.2%），且8岁后患病率增加。ER与非白种人血统和较高的索科洛夫指数独立相关，但与性别或体力活动水平无关。在心率<100次/分的儿童中，ER与年龄较大独立相关，而在≥8岁的儿童中，ER与心率较慢独立相关。
结论
ER存在于四分之一的各年龄段儿童中，且与种族血统、年龄较大、心率较慢和较高的索科洛夫指数有关。
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